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To the Editor.—
The most typical pressure neuropathies are readily recognized with investigation of the circumstances surrounding the beginning of the complaint, diligent examination of the part involved, and attention not just to intrinsic but to extrinsic factors. I present two cases of compression sciatica caused by extra-thick wallets.
Report of Cases.—Case 1.—
A 52-yearold man, seen for follow-up care after hospitalization for an acute paranoid psychosis, had an incidental complaint of left-sided "sciatica" of 14 months' duration. The pain was mild to moderate, at times vague and at times more localized along the course of the sciatic nerve from the left gluteal area down to the popliteal fossa. Rarely did it radiate to the lumbosacral area. The pain occurred primarily and most pronounced when the patient drove long distances. His condition had been diagnosed as a probable herniated disk, and he had also received chiropractic attention. Neurologic
Lutz EG. Credit-Card-Wallet Sciatica. JAMA. 1978;240(8):738. doi:10.1001/jama.1978.03290080028012
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